Borst H G, Laas J, Haverich A
Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Federal Republic of Germany.
Eur J Cardiothorac Surg. 1987;1(3):186-9. doi: 10.1016/1010-7940(87)90040-6.
A new method of treating acute type-A dissection of the aorta is described and illustrated. It involves the reconstruction of both the valve and the ascending aorta. This procedure was employed in 17 patients, 2 of whom succumbed early of complications unrelated to the method while one committed suicide at a later date. One of the surviving patients required reoperation due to breakdown of a resuspended aortic commissure. Two patients show minor non-progressive valve regurgitation in the absence of annulo-aortic ectasia. Two patients have developed dilatation of the aortic root--one will require reoperation in the foreseeable future. In our hands, this method has served to make emergency operation for acute aortic dissection both simpler and safer. The limitations of its use are discussed.
本文描述并展示了一种治疗急性A型主动脉夹层的新方法。该方法包括瓣膜和升主动脉的重建。17例患者采用了此手术方法，其中2例早期死于与该方法无关的并发症，1例后来自杀。1例存活患者因重新悬吊的主动脉瓣连合处破裂需要再次手术。2例患者在无主动脉瓣环扩张的情况下出现轻微的非进行性瓣膜反流。2例患者出现主动脉根部扩张，其中1例在可预见的未来需要再次手术。在我们的实践中，这种方法使急性主动脉夹层的急诊手术更简单、更安全。文中还讨论了其应用的局限性。
